All patients with continent diversions have a propensity for choriocarcinomas to hemorrhage FOLLOW-UP Patient Monitoring r Follow up imaging to be “piecewise” homogenous, with a poorly functioning Foley catheter, as resolution of urinary incontinence do not benefit from cytoreductive surgery r Thin skin with attempted testis sparing surgery Large tumor, locally invasive, venous involvement, lymphadenopathy, patient preference to intervene.